NPPES file of Aug 9, 2026

William J. Blackley, M.D.

Family Medicine Physician · Statesville, NC

William J. Blackley, M.D. is a family medicine physician with a practice address in Statesville, North Carolina, and NPI 1649262312, issued on Aug 18, 2005. Check the license (North Carolina 20527, as entered in NPPES) on the North Carolina Medical Board; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649262312
Name
William J. Blackley
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
20527 NC
Self-reported in NPPES; status is on the state search
Practice location
619 Sullivan RD, Statesville, NC 28677
Phone
(704) 924-9111
Enumerated
Aug 18, 2005
Record last updated
Jan 24, 2008 (not updated in 18 years: call before relying on the address or phone)
Medicaid ID
8915987 NC
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 619 Sullivan RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christina Boland, LCSWClinical Social Worker1043961675
  2. Heather Bullock, RNRegistered Nurse1871240614
  3. Michelle Cannon, PA-CMedical Physician Assistant1609839125
  4. Trevor Craig, M.D.Family Medicine Physician1619902483
  5. Loralin Keller-Soundara, LCSW-AClinical Social Worker1316799323
  6. Amy Kester, FNP-BCFamily Nurse Practitioner1831495175

Verify William J. Blackley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 20527
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

William J. Blackley among 4,953 family medicine physician records in North Carolina

William J. Blackley, M.D. is one of 4,953 family medicine physician records with a practice address in North Carolina. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 88% newer
  • In a Medicare fileNo · 79% of these records are
  • In the CMS Doctors and Clinicians fileNo · 63% of these records are
  • Record last updated2008 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

22 family medicine physician records list a practice address in Statesville

They are 22 of the 1,194 NPPES records with a practice address in Statesville, and 4,953 family medicine physician records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 family medicine physician records with the nearest ZIP codes

  1. David Cash, MDStatesville, NC 286771700855020
  2. Trevor Craig, M.D.Statesville, NC 286771619902483
  3. Rachel Disanto, M.D.Statesville, NC 286771518081520
  4. Daniela Isfan, M.D.Statesville, NC 286771235444779
  5. Robert Kimball, M.DStatesville, NC 286771518959063
  6. Joseph Mazzola, D.O.Statesville, NC 286771457368185
  7. Michael Miller, MDStatesville, NC 286771609963396
  8. Adanma Okwara, M.D.Statesville, NC 286771447295159

Common questions

What is William J. Blackley, M.D.'s NPI number?

William J. Blackley, M.D.'s National Provider Identifier (NPI) is 1649262312, issued on Aug 18, 2005. An NPI identifies a provider in billing; it is not a license.

Where is William J. Blackley, M.D. located?

The NPPES record lists a practice address at 619 Sullivan RD, Statesville, NC, 28677. Phone: (704) 924-9111. Providers update this record themselves, so call before visiting.

How can I verify William J. Blackley, M.D.'s license?

NPPES lists North Carolina license number 20527, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.